Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation...Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation in our hospital from January 2019 to January 2020 were selected to carry out clinical exploration. All patients were randomly divided into observation group and control group, 46 cases in each group. The control group was treated with laminectomy, while the observation group was treated with percutaneous transforaminal endoscopic discectomy. The postoperative symptoms, clinical signs, MRI examination of nerve root compression relief and other therapeutic indicators were evaluated, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection and so on were counted. The curative effect and complication rate of the two groups were compared and analyzed. Results: after the treatment of the two groups of patients with intervertebral foramen endoscopic nucleus pulposus removal and laminectomy, the treatment effectiveness of the two groups of patients with postoperative symptoms, clinical signs and MRI examination of nerve root compression relief, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection were compared. Statistical analysis found that the total effective rate of the observation group was higher than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the application of transforaminal endoscopic discectomy and lamina fenestration discectomy in the treatment of lumbar disc herniation can effectively relieve the symptoms of patients, improve the clinical signs, improve the quality of life of patients and MRI examination of nerve root compression relief. The two groups can obtain satisfactory results.展开更多
文摘Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation in our hospital from January 2019 to January 2020 were selected to carry out clinical exploration. All patients were randomly divided into observation group and control group, 46 cases in each group. The control group was treated with laminectomy, while the observation group was treated with percutaneous transforaminal endoscopic discectomy. The postoperative symptoms, clinical signs, MRI examination of nerve root compression relief and other therapeutic indicators were evaluated, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection and so on were counted. The curative effect and complication rate of the two groups were compared and analyzed. Results: after the treatment of the two groups of patients with intervertebral foramen endoscopic nucleus pulposus removal and laminectomy, the treatment effectiveness of the two groups of patients with postoperative symptoms, clinical signs and MRI examination of nerve root compression relief, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection were compared. Statistical analysis found that the total effective rate of the observation group was higher than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the application of transforaminal endoscopic discectomy and lamina fenestration discectomy in the treatment of lumbar disc herniation can effectively relieve the symptoms of patients, improve the clinical signs, improve the quality of life of patients and MRI examination of nerve root compression relief. The two groups can obtain satisfactory results.
